Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Xenon Xe-133 Gas per 10mci
Eureka, IL
See all hospitals reporting HCPCS A9558 →Price type
Carle Eureka Hospital’s median price of $117 is 62% below the median hospital's median price ($309), higher than 13% of the 1,448 hospitals reporting HCPCS A9558. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 8 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 9 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 12 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 13 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 15 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $233 | $233 | — | — | — | $233 – $233 |
| 16 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 17 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 19 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $276 | $276 | — | — | — | $276 – $276 |
| 20 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
Last updated: Apr 15, 2026
See Xenon-133 gas for diagnostic imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.